Expense
|
Original
Budget
[Start
Date]
[End
Date]
|
(2)Expenditures
[Start
Date]
[End
Date]
|
(3)Obligations
&
Projected
Expenditures
|
(4)Estimated
Balance
|
|
A.
Administrative Costs
|
1.
Personnel
|
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$0
|
2.
Fringe Benefits
|
|
|
|
$0
|
3.
Travel
|
|
|
|
$0
|
4.
Equipment
|
|
|
|
$0
|
5.
Supplies
|
|
|
|
$0
|
6.
Contractual
|
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$0
|
7.
Construction
|
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$0
|
8.
Other
|
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$0
|
B.
Language Stipends (EC-US, US-Brazil, North American
projects only)
|
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|
$0
|
C.
Mobility Stipends (EC-US, US-Brazil, North American
projects only)
|
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|
$0
|
D.
Indirect Costs
|
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|
$0
|
E.
Training Stipends or Scholarships
|
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|
|
$0
|
Total
|
$0
|
$0
|
$0
|
$0
|
Section
1 - Financial Data
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1
|
Did
your organization expend more than $500,000 in Federal
funds during the last fiscal year?
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2
|
When
was your most recent OMB Circular A-133 audit?
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Fiscal
Year:
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3
|
Were
there any findings under your most recent audit?
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4
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Have
all the findings been resolved through corrective
actions?
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5
|
Does
your organization maintain time distribution records for
each employee to account for the total activity for which
an employee is compensated from the present grant award?
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6
|
Does
your organization have procedures in place to minimize
the time elapsing between the transfer of funds to your
organization by a Federal agency and your organization’s
expenditures of such funds?
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7
|
Does
your organization have a current negotiated indirect cost
rate agreement?
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Negotiated
indirect cost percentage rate (please do not include
the "%" sign):
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Expiration
Date:
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8
|
Total
funds expended for for-profits?
(No
commas)
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9
|
Total
funds expended for scholarships and stipends?
(No
commas)
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Scholarships:
$
|
Stipends:
$
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Section
2 - Performance Data
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1a
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Was
there a change in the project director this year?
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1b
|
If
you answered "Yes" to question 1a, please write
in the name and phone number of the new project director.
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2a
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Is
one of the stated objectives of your project to increase
access to an institution, program, field, or discipline?
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2b
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Whether
it is a stated objective or not, has your project
resulted in increased access to an institution, program,
field, or discipline?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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If
you answered "No" to question 2b, please go to
question 3a.
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2c
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Has
increased access to an institution, program, field, or
discipline become a sustained activity at the end of the
grant?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
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3a
|
Is
one of the stated objectives of your project to increase
student retention in an institution, program, field, or
discipline?
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3b
|
Whether
it is a stated objective or not, has your project
resulted in increased student retention in an
institution, program, field, or discipline?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
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If
you answered "No" to question 3b, please go to
question 4a.
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3c
|
Has
increased student retention in an institution, program,
field, or discipline become a sustained activity at the
end of the grant?
|
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|
( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
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4a
|
Is
one of the stated objectives of your project to control
costs of, or produce cost savings in, higher education?
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4b
|
Whether
it is a stated objective or not, has your project
resulted in cost control or cost savings in any way?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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|
If
you answered "No" to question 4b, please go to
question 5a.
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4c
|
Please
provide examples of the cost control or cost savings
brought about by your project:
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4d
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Has
cost control or cost savings become a sustained activity
at the end of the grant?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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5a
|
Is
one of the stated objectives of your project to train
faculty or staff?
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5b
|
Whether
it is a stated objective or not, has your project trained
faculty or staff?
|
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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|
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|
If
you answered "No" to question 5b, please go to
question 6a.
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5c
|
If
you answered "Yes" to question 5b, has faculty
or staff training become a sustained activity at the end
of the grant?
|
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|
( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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6a
|
Is
one of the stated objectives of your project to improve
student learning?
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6b
|
Whether
it is a stated objective or not, has your project
improved student learning?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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|
If
you answered "No" to question 6b, please go to
question 7a.
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6c
|
Briefly
explain how your project improved student learning and
how you measured this improvement:
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6d
|
Have
the activities in your project that improve student
learning become sustained at the end of the grant?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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7a
|
Has
your project involved the implementation of an innovative
practice in postsecondary education?
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If
you answered "No" to question 7a, please go to
question 8.
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7b
|
Briefly
describe the innovation:
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7c
|
Will
this innovative practice be sustained at the end of the
grant?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
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7d
|
Have
any other institutions or organizations expressed
interest in using this innovative practice?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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|
If
you answered "No" to question 7d, please go to
question 8.
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7e
|
How
many institutions expressed interest in using this
innovative practice since the beginning of the grant?
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7f
|
Has
the innovation been used at a site (campus or
organization) other than at the grantee organization?
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( )
Yes
|
( )
No
|
( )
Too
soon to say
(annual
reports only)
|
( )
Not
sure
|
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|
If
you answered "No" to question 7f, please go to
question 8.
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7g
|
How
many institutions or organizations have used this
innovation since the beginning of the grant?
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8
|
How
many institutions or organizations were involved at the
beginning of the project, including the grantee?
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9a
|
Have
any additional institutions or organizations become
involved in the project since the beginning of the grant?
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|
If
you answered "No" to question 9a, please go to
question 10a.
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9b
|
How
many additional institutions have become involved in the
project since the beginning of the grant?
|
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10a
|
Have
any institutions or organizations expressed interest in
materials or other results of the project?
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|
If
you answered "No" to question 10a, please go to
question 11.
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10b
|
How
many institutions or organizations expressed interest in
materials or other results of the project?
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11
|
Did
your project receive or involve any of the following
since the beginning of the grant?
(check
all that apply)
|
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|
( )
On-going
costs included in operating budget
|
( )
New
courses officially approved
|
( )
New
programs officially approved
|
( )
Changes
in curriculum
|
( )
Changes
in the approaches to teaching
|
( )
Changes
in written institutional policies or procedures
|
( )
Additional
faculty FTE added to operating budget through
non-FIPSE funds
|
( )
Additional
staff FTE added to operating budget through non-FIPSE
funds
|
( )
Not
applicable
|
( )
Other
(Please
write in other)
|
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12a
|
Has
your project received any additional funding (external or
internal) since the beginning of the project?
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|
|
If
you answered "No" to question 12a, please go to
question 13a.
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|
12b
|
What
kind of additional funding has it received?
(check
all that apply)
|
|
|
|
|
( )
Additional
in-kind contribution
|
( )
Additional
institutional funding
|
( )
Additional
federal funding
|
( )
Additional
state funding
|
( )
Additional
funding from for-profit firm
|
( )
Additional
funding from private foundation
|
( )
Other
(Please
write in other)
|
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13a
|
Has
your project received any press coverage since the
beginning of the project?
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|
If
you answered "No" to question 13a, please go to
question 14a.
|
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|
13b
|
Please
indicate the kind of press coverage your project has
received.
(check
all that apply)
|
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|
( )
International
media coverage
|
( )
National
media coverage
|
( )
Local
media coverage
|
( )
Institutional/organizational
publication
|
( )
National
association or trade association publication
|
( )
Other
|
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14a
|
Has
your project won any awards since the beginning of the
grant?
|
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|
If
you answered "No" to question 14a, please go to
question 15.
|
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|
14b
|
Please
write in the name, date, source, and, if applicable, the
amount of each award.
|
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|
15
|
Please
list the kinds of activities, products, and resources
resulting from your project since the beginning of the
grant.
(Check
all that apply)
|
|
|
|
|
( )
Project-based
conferences or symposia
|
( )
Conference
presentations
|
( )
Course
modules
|
( )
Project-specific
Web site
|
( )
Textbooks
|
( )
Software
programs
|
( )
Conference
proceedings
|
( )
Books
|
( )
Video
materials
|
( )
Guides
and handbooks
|
( )
Printed
course materials
|
( )
Web-based
course materials
|
( )
Technical
reports
|
( )
Journal
articles
|
( )
CD-ROMs/DVDs
|
( )
Other
(Please
write in other)
|
|
|
|
|
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|
|
16
|
Please
rate the quality of FIPSE's service to you and other
project staff
(telephone
discussions, e-mails, advising on technical and financial
issues, evaluation, Web resources)
|
|
|
|
|
( )
Superior
|
( )
Above
Average
|
( )
Average
|
( )
Below
Average
|
( )
Poor
|
|
|
|
|
|
|
|
|
17
|
Please
rate your satisfaction with the FIPSE Project Directors'
Meeting in helping you and your staff.
|
|
|
|
|
( )
Superior
|
( )
Above
Average
|
( )
Average
|
( )
Below
Average
|
( )
Poor
|
( )
Was
unable to attend this year
( )
Not
applicable
|
|
|
|
|
|
|
|
|
18
|
Please
comment on the helpfulness of FIPSE's service.
|
|
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|
IV.
Report Files
Performance
Narrative
No
files
Evaluation
Report
No
files
Other
Documents (Optional)
No
files
|
|
|
|